Postotnik, Dan--1990 May Show

Entiy Blank— Please Type or Print v *

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- (Ia§l name last)

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Street City fetcd/o)

Daytime Tel mmmu

Zip area

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Zip area

If you do not presently live in one of the counties of the Western
Reserve, in which county were you born?

Collaborator (if any)

s If May Show entries are not accepted or are not sold:
*0^Aftist will pick up at Museum.

□ Museum should dispose of.

□ Museum should ship to artist at artist's expense:

Street

City State Zip

Special Instructions

Entry Blank must be completed in full and signed; forms received unsigned will not
be accepted.

When necessary, include instructions or a drawing for assembling and displaying
an object.

Note carefully the dates for both delivery and return of objects. It is understood
that the Museum shall dispose for its own account any objects not picked up by
the dates given herein. It is also understood that accepted objects will remain on
exhibition until May 27, 1990.

The submission of objects will be construed as an acceptance by the artist
of all terms and conditions printed herein. 1 V

T' |pg?Vl/^VvA

I have received the unsold/unaccepted object(s) in good condition.

Signature

Detach entire portion along dotted line and submit with slides, but retain tags

Entry Blanks

A

□ Paintings

□ Sculpture

Graphics □ Photography
Irafts (specify category)

Materials used (media):

fM*C

Price or NFS

SUV,

Insurance Value
if NFS Only

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height x width x depth

GRAPHICS AND PHOTOGRAPHY ONLY

Additional No.

Total No. in

Price of Print

Price of

For Sale

Edition

Unframed

Frame Only

ACCEPTED

NOT ACCEPTED

DO NOT WRITE IN THIS SECTION

ACCEPTED

no. so

X

r I A)

NOT ACCEPTED

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*

B D Paintings
□ Sculpture

□ Qr

□ graphics □ Photography

afts (specify category)

Materials used (media):

Title

^UJct^T

Price or NFS

Insurance Value
If NFS Only

Zo''Z

Size

height x width x depth

GRAPHICS AND PHOTOGRAPHY ONLY

Additional No.

Total No. in

Price of Print

Price of

For Sale

Edition

Unframed

Frame Only

ACCEPTED

REC'D

'JftU

NOT ACCEPTED

DATE

ACCEPTED

NOT ACCEPTED

DO NOT WRITE
IN THIS SECTION

21